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Evaluation of the efficacy of a resident's training program in delivering bad news in Perinatology using standardized patients


To delivery bad news to a patient and the family is one of the most difficult tasks faced by health professionals. How bad news are given has an enormous impact on its resolution. Given the expectations involved in having a baby and the psychological changes that occur during pregnancy, labor and delivery, delivering bad news requires specific skills that, in general, health care workers have no training for. There is a consensus that empathy and communication skills can be learned and should be taught. Among the educational programs available and greatly used is the SPIKES protocol developed to delivery bad news in oncology. Nevertheless, there is no evidence about the efficacy of this program in perinatology. Objectives: To evaluate the efficacy in teaching the SPIKES model to deliver bad news to standardized patients to residents from the gynecology/obstetric, pediatrics and neonatology programs comparing to residents from the same programs who did not participate in the training. Subjects and Methods: Randomized clinical trial with all the first, second third and four year residents of these programs randomly assigned to participate or not in the SPIKES training program. The same program will be offer to the control group after completion of data collection and data analysis. Data analysis: performance in the first (before training) simulated encounter with an SP compared to the second one for both groups (intervention and control) and comparison among the two groups in both encounters. Qui-square and t-student statistical tests will be used for data analysis. (AU)

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Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MARIA SILVIA VELLUTINI SETUBAL; MARIA ÂNGELA REIS GOES MONTEIRO ANTONIO; ELIANA MARTORANO AMARAL; JOHN BOULET. Improving Perinatology Residents’ Skills in Breaking Bad News: A Randomized Intervention Study. Revista Brasileira de Ginecologia e Obstetrícia, v. 40, n. 3, p. -, Mar. 2018.
VELLUTINI SETUBAL, MARIA SILVIA; GOES MONTEIRO ANTONIO, MARIA ANGELA REIS; AMARAL, ELIANA MARTORANO; BOULET, JOHN. Improving Perinatology Residents' Skills in Breaking Bad News: A Randomized Intervention Study. Revista Brasileira de Ginecologia e Obstetrícia, v. 40, n. 3, p. 137-146, MAR 2018. Web of Science Citations: 1.
VELLUTINI SETUBAL, MARIA SILVIA; GONCALVES, ANDREA VASCONCELOS; ROCHA, SHEYLA RIBEIRO; AMARAL, ELIANA MARTORANO. Breaking Bad News Training Program Based on Video Reviews and SPIKES Strategy: What do Perinatology Residents Think about It?. Revista Brasileira de Ginecologia e Obstetrícia, v. 39, n. 10, p. 552-559, OCT 2017. Web of Science Citations: 0.

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